Abbeyville Skilled Nursing: Discharge Review Failure - PA
Federal inspectors cited the facility on August 19, 2025, following a complaint investigation. The deficiency was tagged F0627, with a finding of minimal harm or potential for actual harm, affecting a small number of residents.
The resident, identified in inspection records as Resident R1, had been recertified for an additional four weeks of skilled nursing facility care. That recertification was already documented in the record. The attending physician, Employee E7, discharged the resident anyway.
Inspectors reviewed Resident R1's practitioner notes and found no documentation of any evaluation tied to the discharge decision. The physician had not reviewed the resident's total program of care, which included medications and treatments. Had he done so, the recertification would have been in front of him.
The facility's own administrator confirmed this during an interview on August 7, 2025. The nursing home administrator told inspectors directly: had Employee E7 reviewed Resident R1's total program of care, including medications and treatments, he would have been aware the resident had been recertified for an additional four weeks of SNF care.
That admission is the center of this case. The administrator did not dispute the timeline or the oversight. The physician discharged a patient whose extended stay had already been approved and documented, without looking at the record that would have told him so.
What the inspection report does not say is what happened to Resident R1 after the discharge. Whether the resident was returned to the facility, transitioned elsewhere, or managed without skilled nursing care during the period covered by the recertification, the inspection report is silent on those questions. The deficiency level, minimal harm or potential for actual harm, reflects the regulatory classification, not a determination that nothing went wrong for the resident.
Skilled nursing facility recertifications exist because a physician or other qualified practitioner has determined that a patient still requires a level of care that cannot be provided at home or in a lower-acuity setting. A recertification for four weeks represents a clinical judgment that the patient's condition warranted continued skilled intervention. Discharging a patient over that determination, without knowing the determination exists, is a breakdown in the basic coordination between a physician and a patient's documented care record.
The inspection cited violations of Pennsylvania state codes governing nursing services, physician services, and clinical records.
Abbeyville Skilled Nursing and Rehabilitation Center is located at 100 Abbeyville Road in Lancaster. The inspection was completed August 19, 2025.
The administrator's confirmation that the physician simply had not looked at the record is the kind of statement that tends to get buried in regulatory paperwork. A resident was discharged. The paperwork extending the stay was already done. Nobody checked.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Abbeyville Skilled Nursing and Rehabilitation Cent from 2025-08-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 15, 2026 · Our methodology
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT in LANCASTER, PA was cited for violations during a health inspection on August 19, 2025.
Federal inspectors cited the facility on August 19, 2025, following a complaint investigation.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.